NPIMap

Organization Active NPI

Victory Physical Therapy Limited Partnership

  • Physical Therapist
  • Ennis, TX
National Provider Identifier
1003863390
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VICTORY PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
1101 S Clay St Ste B
Ennis, TX 75119-6422
Phone
(972) 878-0503
Fax
(972) 878-6219
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard S Binstein, JD
Title
Vice President of Legal Affairs
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1101 S Clay St Ste B
Ennis, TX 75119-6422

Mailing address

1101 S Clay St Ste B
Ennis, TX 75119-6422
Phone (972) 878-0503

Other practice location 1

1011 East Ennis Avenue,
Suite D
Ennis, TX 75119
Phone (972) 878-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000221 TX Part B Supplier - Clinic/Group Practice 3577575745 Receives reassigned benefits from 2 practitioners
Practice locations: Ennis, TX

National Provider Directory

National Provider Directory
Tax ID family
Victory Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 S Clay St
Ste B
Ennis, TX 75119
Phone (972) 878-0503

1011 E Ennis Ave
Ste D
Ennis, TX 75119
Phone (972) 878-0503

Networks

  • devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1003863390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CLAY ST STE B",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196422",
            "telephone_number": "972-878-0503",
            "fax_number": "972-878-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CLAY ST STE B",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196422",
            "telephone_number": "972-878-0503",
            "fax_number": "972-878-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 East Ennis Avenue,",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "75119",
            "country_code": "US",
            "telephone_number": "972-878-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.